{"id":6676,"date":"2020-04-22T17:14:03","date_gmt":"2020-04-22T20:14:03","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/"},"modified":"2020-05-03T18:25:10","modified_gmt":"2020-05-03T21:25:10","slug":"patologia-de-pustulose-generalizada-aguda-exantematica-2-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/","title":{"rendered":"Patologia da pustulose exantematosa generalizada aguda"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/#Introduccion\" >Introdu\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/#Histologia-de-AGEP\" >Histologia AGEP<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/#Patologia-aguda-generalizada-de-la-pustulosis-exantematosa-AGEP\" >Patologia aguda generalizada de pustulose exantem\u00e1tica (AGEP)<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/#Estudios-especiales-para-AGEP\" >Estudos especiais para AGEP<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-pustulosis-exantematica-generalizada-aguda-2\/#Diagnostico-diferencial-de-AGEP\" >Diagn\u00f3stico diferencial de AGEP<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introdu\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"349\">Agudo<\/span> <span class=\"term\" data-term-id=\"308\">Generalizado<\/span> <span class=\"term\" data-term-id=\"376\">Exantem\u00e1tico<\/span> <span class=\"term\" data-term-id=\"1130\">Pustulose<\/span> (AGEP) \u00e9 um raro <span class=\"term\" data-term-id=\"60\">doen\u00e7a de pele<\/span> que \u00e9 apresentado como m\u00faltiplo <span class=\"term\" data-term-id=\"1016\">p\u00fastulas<\/span> em um generalizado <span class=\"term\" data-term-id=\"967\">eritematoso<\/span> <span class=\"term\" data-term-id=\"704\">erup\u00e7\u00e3o<\/span>. Numerosas <span class=\"term\" data-term-id=\"1715\">drogas causais<\/span> e infec\u00e7\u00f5es foram implicadas.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-AGEP\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> por AGEP<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Na AGEP, existem <span class=\"term\" data-term-id=\"269\">espongiose<\/span> e m\u00ednimo <span class=\"term\" data-term-id=\"2\">acantose<\/span> do <span class=\"term\" data-term-id=\"85\">epiderme<\/span>. <span class=\"term\" data-term-id=\"443\">Neutr\u00f3filos<\/span> <span class=\"term\" data-term-id=\"528\">esponjoso<\/span> As p\u00fastulas s\u00e3o a caracter\u00edstica mais marcante (figura 1, 2). Essas p\u00fastulas est\u00e3o presentes dentro do <span class=\"term\" data-term-id=\"273\">estrato c\u00f3rneo<\/span> e \/ ou a epiderme. Algumas vezes, <span class=\"term\" data-term-id=\"1624\">apopt\u00f3tico<\/span> <span class=\"term\" data-term-id=\"1069\">queratin\u00f3citos<\/span> s\u00e3o vistos no <span class=\"term\" data-term-id=\"1351\">adjacente<\/span> epiderme. Freq\u00fcentemente h\u00e1 um <span class=\"term\" data-term-id=\"52\">d\u00e9rmico<\/span> resposta que \u00e9 rica em <span class=\"term\" data-term-id=\"421\">linf\u00f3citos<\/span> e <span class=\"term\" data-term-id=\"448\">eosin\u00f3filos<\/span> (Figura 3).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-aguda-generalizada-de-la-pustulosis-exantematosa-AGEP\"><\/span>Patologia aguda generalizada de pustulose exantem\u00e1tica (AGEP)<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='agep-fig-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2347212-9419448' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/agep-fig-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2347212.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='agep-fig-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5643650-7068729' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/agep-fig-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5643650.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='agep-fig-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7126408-4559037' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/agep-fig-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7126408.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-AGEP\"><\/span>Estudos especiais para AGEP<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Geralmente, nenhum \u00e9 necess\u00e1rio. A pustula\u00e7\u00e3o pode levar ao exame de uma colora\u00e7\u00e3o PAS para descartar um fungo <span class=\"term\" data-term-id=\"1544\">etiologia<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-AGEP\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> por AGEP<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"792\">Pustular<\/span> psor\u00edase: a psor\u00edase geralmente mostra uma postula\u00e7\u00e3o mais impressionante, espongiose m\u00ednima e geralmente carece de derme <span class=\"term\" data-term-id=\"83\">eosinofilia<\/span>.<\/p>\n<p><span class=\"term\" data-term-id=\"1056\">Subcorneal<\/span> Dermatose pustulosa: as p\u00fastulas repousam na epiderme e n\u00e3o se formam. <span class=\"term\" data-term-id=\"846\">epid\u00e9rmico<\/span> p\u00fastulas A espongiose geralmente n\u00e3o est\u00e1 aberta. Pode haver sobreposi\u00e7\u00e3o cl\u00ednica e patol\u00f3gica em alguns casos.<\/p>\n<p>P\u00eanfigo IgA - O <span class=\"term\" data-term-id=\"1038\">intraepid\u00e9rmico<\/span> A forma IgA do p\u00eanfigo pode se assemelhar muito ao AGEP. <span class=\"term\" data-term-id=\"142\">Imunofluoresc\u00eancia<\/span> pode ser \u00fatil distinguir essas entidades.<\/p>\n<p><span class=\"term\" data-term-id=\"498\">Bolhoso<\/span> impetigo: manchas de Gram devem mostrar um pouco de subc\u00f3rnea <span class=\"term\" data-term-id=\"935\">bact\u00e9rias<\/span>. Postula\u00e7\u00e3o epid\u00e9rmica neutrof\u00edlica geralmente n\u00e3o \u00e9 uma caracter\u00edstica.<\/p>\n<p>.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Agudo Generalizado Exantematoso Pustulosis (AGEP) es un raro dermatosis que se presenta como m\u00faltiple p\u00fastulas en un generalizado eritematoso erupci\u00f3n. Numeroso drogas causales y las infecciones han sido implicadas&#8230;.<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-6676","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=6676"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6676\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}